Payer Contract and Website Coordinator - Monroeville PA Hybrid

At CVS Health were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nations leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purposedriven colleagues caring for people where when and how they choose in a way that is uniquely more connected more convenient and more compassionate. And we do it all with heart each and every day.

Position Summary

CVS Health Specialty Pharmacy a mail service pharmacy in Monroeville area has an opportunity for a fulltime Payer Contract and Website Coordinator. The Payer Contract and Website Coordinator is primarily responsible for processing requests for access to payer websites as well as problem resolution and maintenance of system interactive websites. The Payer Contract and Website Coordinator will also be responsible for Payer Contract Creation and Maintenance in support of accurate billing and collections. Your role is critical to ensure a smooth flow of payment to payers that allows CVS Health to quickly dispense and bill for thousands of medications that are vital to the health of our patients. Various other tasks and projects will also be assigned by their leadership team. As part of this team you will work in a fast paced and team focused environment.

We will support you by offering all the tools and resources you need to be successful in a collaborative team environment.

We offer a comprehensive benefits package which includes medical dental vision insurance as well as a comprehensive list of supplemental list of benefits and discount programs. In addition to sixteen paid days off for employees we also offer ten paid holidays.

Located in the Monroeville facility this opportunity also provides free parking.

Key Responsibilities of the Payer Contract and Website Coordinator:

• Setting up and managing user access on various Payer Websites as the administrator.
• Saving and documentation of Payer Bulletin Notifications.
• Ensuring comprehension and timely completion of Payor Code Creation and Maintenance across all lines of business.
• Reimbursement rates in support of accurate billing and collections and contract/payer agreement compliance.
• Serves as a critical point of contact to healthcare billing and reimbursement operations.
• Routinely interface with multiple internal groups including medical billers and coders pharmacy technicians and contract sales associates.
• Research and submit for appropriate updates for Returned Mail.
• Research Medical Managed Medicaid Taxonomies.
• Process W9 Requests.

Required Qualifications

• 18 months experience within healthcare or direct experience working for CVS Specialty Reimbursement Payer Relations.
• 12 months experience using Microsoft Office products specifically Excel Outlook and Word.
• Must be able to commute to the Monroeville PA office.

Preferred Qualifications

• Experience with SharePoint
• Experience interfacing with payers in a healthcare environment.
• Ability to work in a team setting along with working independently.
• Ability to prioritize.

Education

• Verifiable High School Diploma or GED required.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual fulltime salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience education geography and other relevant factors. This position is eligible for a CVS Health bonus commission or shortterm incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers patients members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages our great benefits include:

• Affordable medical plan options a 401(k) plan (including matching company contributions) and an employee stock purchase plan.

• Nocost programs for all colleagues including wellness screenings tobacco cessation and weight management programs confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off flexible work schedules family leave dependent care resources colleague assistance programs tuition assistance retiree medical access and many other benefits depending on eligibility.

For more information visit anticipate the application window for this opening will close on: 06/21/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws.